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Cognitive and Metabolic Responses to Eating in Anorexia Nervosa and Bulimia

  • K. A. Halmi
Conference paper

Abstract

Eating behavior in anorexia nervosa and bulimia nervosa has been carefully described but not systematically studied. Studies of eating behavior in animals have used test models such as microstructural analysis of feeding behavior and macroanalysis of feeding patterns (Blundell and Hill 1986). In animals a microstructural analysis of feeding behavior is an intensive recording of many behaviors such as drinking, grooming, locomotor activity, resting, in addition to eating behavior of animals in a short period of time. The macroanalysis of feeding patterns is a measurement of long-term feeding patterns in free-feeding animals never subjected to food deprivation. This continuous monitoring procedure has improved the precision of measuring parameters of meal patterns such as meal size, meal duration, meal frequency, intermeal interval, and ratios of meal size to meal interval. It allows assessments to be made under normal physiological conditions. Experimental obesity in animals can be produced by the technique of using varied and palatable diets. The dietary self-selection model allows the study of pharmacological agents and exogenously administered hormones on macronutrient (fat, protein, and carbohydrate) consumption. These models are now being successfully used with humans and can be useful to study eating in anorexia nervosa and bulimia patients.

Keywords

Anorexia Nervosa Eating Disorder Bulimia Nervosa Test Meal Meal Size 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

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References

  1. Blundell JE, Hill A (1986) Behavioral pharmacology of feeding: relevance of animal experiments for studies in man. In: Blundell J, Hill A (eds) Pharmacology of eating disorders. Raven, NewYorkGoogle Scholar
  2. Drewnowski A, Halmi K, Pierce B, Gibbs J, Smith GP (1987) Taste and eating disorders. Am J Clin Nutr 46: 442–450PubMedGoogle Scholar
  3. Eckert E, Halmi KA, Marchi P, Cohen J (1987) Comparison of bulimic and non-bulimic anorexia nervosa patients during treatment. Psychol Med 17: 891–898PubMedCrossRefGoogle Scholar
  4. Gross HA, Lake RC, Ebert MH, Ziegler MG, Kopin IS (1979) Catecholamine metabolism in primary anorexia nervosa. J Clin Endocrinol Metab 49: 805–809PubMedCrossRefGoogle Scholar
  5. Halmi KA, Dekirmenjian H, Davis JM, Cooper RC, Goldberg S (1978) Catecholamine metabolism in anorexia nervosa. Arch Gen Psychiatry 35: 458–460PubMedGoogle Scholar
  6. Hill AJ, Magson LD, Blundell J (1984) Hunger and palatability: tracking ratings of subjective experience before, during and after the consumption of preferred and less preferred food. Appetite 5: 361–371PubMedGoogle Scholar
  7. Kaye WH, Ebert MH, Raleigh M, Lake R (1984) Abnormalities in CNS monoamine metabolism in anorexia nervosa. Arch Gen Psychiatry 41: 350–355PubMedGoogle Scholar
  8. Kaye WH, Gwirtsman H, George T, Ebert M, Petersen R (1986b) Calorie consumption and activity levels after weight recovery in anorexia nervosa. Int J Eating Disord 3: 489–502CrossRefGoogle Scholar
  9. Kaye WH, Gwirtsman HE, Obarzanek E, George T, Jimerson D, Ebert M (1986a) Caloric intake necessary for weight maintenance in anorexia nervosa. Am J Clin Nutr 44: 435–443PubMedGoogle Scholar
  10. Landsberg L, Young JB (1978) Fasting, feeding and regulation of the sympathetic nervous system. N Engl J Med 298 (23): 1295–1301PubMedCrossRefGoogle Scholar
  11. Newman M, Halmi K, Marchi P (1987) Relationship of clinical factors to caloric requirements in subtypes of eating disorders. Biol Psychiatry 22: 1253–1263PubMedCrossRefGoogle Scholar
  12. Owen WP, Halmi KA, Gibbs J, Smith GP (1985) Satiety responses in eating disorders. J Psychiatric Res 19: 279–284CrossRefGoogle Scholar

Copyright information

© Springer-Verlag Berlin Heidelberg 1988

Authors and Affiliations

  • K. A. Halmi
    • 1
  1. 1.New York Hospital, Westchester DivisionCornell University Medical CollegeWhite PlainsUSA

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